Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $105.93 / $377.74	Facility		$41.82	$105.93	$377.74
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $73.61 / $73.61 / $294.44	Facility	CO	$73.61	$73.61	$294.44
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $78.08 / $188.20 / $312.19	Facility	CQ	$78.08	$188.20	$312.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.92 / $54.37	Professional		$14.40	$24.92	$54.37
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $149.41 / $149.41 / $149.41	Professional	CQ	$149.41	$149.41	$149.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $41.63 / $69.95	Professional		$30.74	$41.63	$69.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $29.83 / $29.83	Facility		$29.83	$29.83	$29.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $81.02 / $114.99	Professional		$34.52	$81.02	$114.99
Community Health Options Facility/Professional Facility Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Facility		$348.00	$348.00	$348.00
Community Health Options Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $39.79 / $72.52	Professional		$29.42	$39.79	$72.52
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $44.11 / $72.90	Professional		$39.61	$44.11	$72.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.82 / $105.93 / $377.74	Facility		$41.82	$105.93	$377.74
Martin's Point Facility/Professional Facility Modifier CO Low / Median / High Price $73.61 / $73.61 / $294.44	Facility	CO	$73.61	$73.61	$294.44
Martin's Point Facility/Professional Facility Modifier CQ Low / Median / High Price $66.95 / $138.90 / $444.74	Facility	CQ	$66.95	$138.90	$444.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $41.82 / $57.31	Professional		$15.84	$41.82	$57.31
United Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $44.11 / $59.12	Professional		$32.33	$44.11	$59.12